BALTIMORE – CMS is moving forward with its plans to implement a prior authorization process for certain DME and stakeholders say it should make life easier for providers.
BALTIMORE – CMS today issued a final rule that would establish a prior authorization process for certain durable medical equipment.
YARMOUTH, Maine – The increasing number of states turning to managed care to run their Medicaid programs is creating a logistical nightmare for providers.
YARMOUTH, Maine – CMS recently extended a demo requiring prior authorizations for certain power mobility devices, and providers say it may be time to consider other product categories, too.
WASHINGTON – Rep. Marsha Blackburn, R-Tenn., introduced a bill last week that would require prior authorizations for high-dollar DME.
WASHINGTON – CMS will host a Special Open Door Forum on Aug. 12 to allow DMEPOS suppliers and others to ask questions about the expanding PMD demon.
WASHINGTON – CMS will expand its PMD demonstration to 12 additional states on Oct. 1, the agency announced in a final rule published this week.
WASHINGTON – Although industry stakeholders are still combing through a plan to implement a prior authorization (PA) process for certain DME, they think it could be a good thing—with a few caveats.
WASHINGTON – Certain wheelchair codes not included in the current PMD demo project could be included in a new prior authorization program recently proposed by CMS.
WASHINGTON – Industry stakeholders support CMS’s plans to expand the PMD demo—with a few tweaks.
“I’m all for it,” said Peggy Walker, billing specialist at VGM. “I’m ready for more prior auths.”
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